CPT code 33425: Mitral valve repair, without prosthetic ring2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $2,775.92 for 33425 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33425 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 33425 covers

A cardiac surgeon reports this service for open repair of a patient’s native mitral valve with cardiopulmonary bypass and without a prosthetic ring. Repair may address valve dysfunction through techniques involving the leaflets or supporting structures. It is typically performed in a hospital operating room; the operative report should establish the valve treated, the repair performed, use of bypass, and whether a ring was implanted.

Select this code when the documented repair is performed without a ring; use the ring-specific sibling when a prosthetic ring is used. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Washington, DC area compares for 33425

Across 109 of 109 payment localities, the facility rate for 33425 runs from $2,250.75 in Wisconsin to $3,217.44 in Alaska. Washington, DC area pays $2,775.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33425 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 33425 in every payment locality

How the 33425 rate is calculated

Each of 33425’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 33425

33425 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 33425

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 33425 has changed in Washington, DC area

Price 33425 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates